Active NPIOrganization

Family Dental Associates

Dentist, General Practice in Rutland, Vermont

NPI Number1487853644
Practice location
4 General Wing RD, Rutland, VT 05701-4682
Fax
802-775-1487
Last updated
July 17, 2007

Family Dental Associates is a healthcare organization based in Rutland, VT. Family Dental Associates practices in Rutland, VT. The NPI Number for Family Dental Associates is 1487853644 and holds a License No. 871 (VT). The current practice location address for Family Dental Associates is 4 General Wing RD, Rutland, VT 05701-4682 and can be reached out via phone at 802-775-0819 and via fax at 802-775-1487.

Provider Profile Details

NPI Number
1487853644
Provider Name
Family Dental Associates
Provider Entity Type
Organization
Address
4 General Wing RD, Rutland, VT 05701-4682
Phone Number
802-775-0819
Fax Number
802-775-1487
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Robert Stephen Kolodzej, DMD · Senior Partner · 802-775-0819
Provider Enumeration Date
July 17, 2007
Last Update Date
July 17, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
4 General Wing RD
Rutland, VT 05701-4682
State
Vermont
Zip
05701-4682
Phone Number
802-775-0819
Fax Number
802-775-1487
Rutland, VT 05701Get directions →

Provider Business Mailing Address Details

Address
4 General Wing RD
Rutland, VT 05701-4682
City
Rutland
State
VT
Zip
05701-4682
Phone Number
802-775-0819
Fax Number
802-775-1487

License Information

License Number (1)
871
License State (1)
VT
Taxonomy (1)
Dentist, General Practice · 1223G0001X
License Number (2)
1112
License State (2)
VT
Taxonomy (2)
Dentist, General Practice · 1223G0001X
License Number (3)
769
License State (3)
VT
Taxonomy (3)
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Family Dental Associates?

The NPI number of Family Dental Associates is 1487853644. It was assigned on July 17, 2007 and is currently active in the NPPES registry.

What is the specialty of Family Dental Associates?

Family Dental Associates is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in VT under license number 871.

Where does Family Dental Associates practice?

The practice location is 4 General Wing RD, Rutland, VT 05701-4682. The office can be reached at 802-775-0819 (phone) or 802-775-1487 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487853644 directly on the NPPES registry website.

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